A loose primary (“baby”) tooth is often a cause for celebration. A loose permanent tooth, however, is a cause for concern. A permanent tooth shouldn't even wiggle.
If you have a loose tooth, it's likely you have a deeper dental problem. Here are the top underlying causes for loose teeth.
Gum disease. Teeth are held in place by an elastic tissue called the periodontal ligament. But advanced periodontal (gum) disease, a bacterial infection usually caused by film buildup on teeth called dental plaque, can damage the ligament and cause it to detach. If it's not treated, it could lead to tooth loss.
Bite-related trauma. A normal bite helps balance out the forces generated when we chew so they don't damage the teeth. But if a misaligned tooth protrudes higher from the jaw, the opposing tooth will likely create more downward pressure on it while chewing. This can stress the tooth's supporting ligament to the point of looseness.
Self-inflicted trauma. While they may be trendy, tongue jewelry can cause dental damage. A wearer who clicks the “barbell” of a tongue stud against their teeth could be creating conditions conducive for gum damage and bone loss, which can cause tooth looseness. Similarly, taking orthodontics into your own hands could also damage your teeth, especially if you have undiagnosed gum disease.
Genetics. Although you can't prevent it, the type of resistance or susceptibility you inherited from your parents (as well as your dental anatomy) can cause you dental problems. Thinner gum tissues, especially around the roots, can make you more susceptible to gum disease or dental trauma, which in turn could contribute to tooth looseness.
There are things you can do to lessen your chance of loose teeth. Brush and floss every day to remove disease-causing bacterial plaque and see a dentist regularly for cleanings to reduce your risk of gum disease. If you have any misaligned teeth, consult with an orthodontist about possible treatment. And avoid oral jewelry and DIY orthodontics.
If you do notice a loose tooth, see us as soon as possible. We'll need to diagnose the underlying cause and create a treatment plan for it. We may also need to splint the tooth to its neighbors to stabilize it and reduce your risk of losing it permanently.
If you would like more information on tooth mobility, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When Permanent Teeth Become Loose.”
Daily fatigue or complaints of your snoring from family have led you to see your doctor about the problem. After an exam and a test session in a sleep lab, your problem now has a name — obstructive sleep apnea.
This common sleep-related breathing disorder (SRBD) occurs when the soft tissues in the back of the throat over-relax during sleep. The relaxed tissues obstruct air flow to the trachea (windpipe) and cause “apnea,” where you cease to breathe. The lack of oxygen causes you to wake, even for a micro-second, to begin breathing again. This may occur multiple times throughout the night, diminishing the quality of your sleep and leading not only to drowsiness and daily fatigue but also contribute to cardiovascular disease or other systemic conditions.
The most effective treatment for sleep apnea is the use of a Continuous Positive Airway Pressure (CPAP) machine while you sleep. The machine delivers pressurized air to a face mask you wear while you sleep; the additional pressure keeps the airway open. However, a CPAP machine does have a few disadvantages, including discomfort while attached to the machine, nasal congestion and dryness, or claustrophobia. These effects can be so pronounced for some patients, they’re unable to adjust themselves to the machine.
If you have mild to moderate sleep apnea, there may be an alternative — a custom-fitted oral appliance we manufacture for you to wear in your mouth while you sleep. The appliance pulls the lower jaw forward resulting in a wider opening of the airway. In addition to being less cumbersome than a CPAP mask, an oral appliance is easier to wear, compact in size for easy travel and doesn’t require electricity.
While an oral appliance is an effective alternative to a CPAP machine for many patients, it does have a few disadvantages including problems with saliva flow (too much or too little), muscle or teeth soreness and minor tooth or jaw movement. Still, an oral appliance might be the right solution to relieve your sleep apnea over the long-term.
If you would like more information on treatments for sleep apnea, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine articles “Sleep Disorders & Dentistry” and “Sleep Apnea FAQs.”
When they’re introducing a new movie, actors often take a moment to pay tribute to the people who helped make it happen — like, you know, their dentists. At least that’s what Charlize Theron did at the premiere of her new spy thriller, Atomic Blonde.
"I just want to take a quick moment to thank my dentists," she told a Los Angeles audience as they waited for the film to roll. "I don’t even know if they’re here, but I just want to say thank you."
Why did the starring actress/producer give a shout-out to her dental team? It seems she trained and fought so hard in the action sequences that she actually cracked two teeth!
“I had severe tooth pain, which I never had in my entire life,” Theron told an interviewer from Variety. At first, she thought it was a cavity — but later, she found out it was more serious: One tooth needed a root canal, and the other had to be extracted and replaced with a dental implant — but first, a bone grafting procedure was needed. “I had to put a donor bone in [the jaw] to heal,” she noted, “and then I had another surgery to put a metal screw in there.”
Although it might sound like the kind of treatment only an action hero would need, bone grafting is now a routine part of many dental implant procedures. The reason is that without a sufficient volume of good-quality bone, implant placement is difficult or impossible. That’s because the screw-like implant must be firmly joined with the jawbone, so it can support the replacement tooth.
Fortunately, dentists have a way to help your body build new bone: A relatively small amount of bone material can be placed in the missing tooth’s socket in a procedure called bone grafting. This may come from your own body or, more likely, it may be processed bone material from a laboratory. The donor material can be from a human, animal or synthetic source, but because of stringent processing techniques, the material is safe for human use. Once it is put in place your body takes over, using the grafted material as a scaffold on which to build new bone cells. If jawbone volume is insufficient for implants, it can often be restored to a viable point in a few months.
Better yet, when grafting material is placed in the tooth socket immediately after extraction, it can keep most of the bone loss from occurring in the first place, enabling an implant to be placed as soon as possible — even before the end of a movie’s shooting schedule.
Will Atomic Blonde prove to be an action-movie classic? Only time will tell. But one thing’s for sure: When Charlize Theron walks down the red carpet, she won’t have to worry about a gap in her smile.
If you have questions about bone grafting or dental implants, please contact our office or schedule a consultation. You can read more in the Dear Doctor magazine articles “Dental Implant Surgery” and “Immediate Dental Implant.”
As many as 36 million adults in the U.S. suffer from some form of chronic jaw pain. What’s more, many of these may also experience other painful conditions like arthritis or chronic fatigue in other parts of their body.
Chronic jaw pain is actually a group of difficult to define disorders collectively referred to as temporomandibular joint disorders (TMJD or also TMD). TMD not only refers to pain symptoms of the temporomandibular (jaw) joints but also of the jaw muscles and surrounding connective tissue. Most physicians and dentists agree TMD arises from a complex range of conditions involving inheritable factors, gender (many sufferers are women of childbearing age), environment and behavior.
A recent survey of approximately 1,500 TMD patients found that nearly two-thirds of them also suffered from three or more related health problems like fibromyalgia, chronic fatigue syndrome, rheumatoid arthritis, headaches, depression and problems sleeping. The understanding of TMD’s connection with these other conditions is in its early stages of research, but there’s avid interest among healthcare providers to learn more and possibly devise new treatments for TMD in coordination with these other related conditions.
In the meantime, TMD patients continue to respond best with the traditional approach to treatment, including physical therapy, thermal (hot or cold) compresses to the area of pain, medication and modifying the diet with more easier to chew foods. In extreme cases, jaw surgery may be recommended; however, success with this approach has been mixed, so it’s advisable to get a second opinion before choosing to undergo a surgical procedure.
Hopefully, further study about TMD and its connection with other conditions may yield newer treatments to ease the pain and discomfort of all these conditions, including TMD. You can stay up to date on these and other developments for coping with the discomfort of TMD at www.tmj.org and through your healthcare provider team.
If you would like more information on TMD, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Chronic Jaw Pain and Associated Conditions.”
With only a few teeth now showing in your baby’s mouth, you might think it’s too early to schedule their first dental visit. But you should, and here’s why: tooth decay.
Although adults are more likely to contend with dental disease, the exception for children is tooth decay. One kind of decay, early childhood caries (ECC), can wreak havoc in children’s primary teeth. While your child may or may not be at high risk for ECC, it’s better to err on the side of caution and begin regular checkups by their first birthday.
Since primary teeth eventually give way for permanent teeth, it may not seem that important to protect them from decay. But despite their short lifespan primary teeth can have a long-term effect on dental health for one primary reason: They’re placeholders for the permanent teeth that will eventually replace them.
If they’re lost prematurely to decay, nearby teeth can drift into the resulting open space. This can crowd out the intended permanent tooth, which may then erupt out of place (or not at all, remaining impacted within the gums). Protecting primary teeth from decay—or treating them if they do become infected—reduces this risk to the permanent teeth.
Besides regular cleanings, dentists can do other things to protect your child’s teeth from decay. Applying a high strength fluoride solution to teeth can help strengthen enamel against acid attack, the precursor to decay. Sealants on the biting surfaces of teeth deprive bacterial plaque of nooks and crannies to hide, especially in back molars and pre-molars.
You can also help prevent decay in your child’s primary teeth by starting a brushing regimen as soon as teeth start appearing. Also, limit sugar intake by restricting sugary foods to mealtime and not sending a child to bed with a sugary liquid-filled bottle (including juices or breast milk). And avoid possible transfers of oral bacteria from your mouth to theirs by not drinking from the same cup or placing any object in your mouth that might go in theirs.
Tooth decay can have long-term consequences on your child’s dental health. But by working together with your dentist you can help ensure this damaging disease doesn’t damage their teeth.
If you would like more information on tooth decay in primary teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Do Babies Get Tooth Decay?”
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.